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The Road Ahead: Therapeutic Recreation and Evidence-Based Pr

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Emily Noga

on 30 September 2013

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Transcript of The Road Ahead: Therapeutic Recreation and Evidence-Based Pr

The Road Ahead:
Therapeutic Recreation and Evidence-Based Practice

What is Evidence-Based Practice?
Evidence-Based Practice is the selection of the best available treatments for which there is evidence of effectiveness.

When a CTRS uses Evidence-Based Practice, it means they will be treating a patient with a technique that has been proven effective by research rather than unsystematic observations and common sense.
Why is Evidence-Based Practice Important?
Evidence-Based Practice is about finding what modalities are most effective. It uses current research to determine whether or not a particular method or intervention should be used to care for a patient.

Evidence-Based Practice improves client outcomes because they are receiving the best treatment for their needs.

Evidence-Based Practice helps ensure consistency among professionals in what treatment they are providing

Evidence-Based Practice helps create more specific protocols and criteria for client assessments
What is the Role of Evidence-Based Practice in Therapeutic Recreation?
The goal of the TR profession should be to increase the use of research results and EBP.

EBP is a means toward effective client treatment which may aid in the survival and permanent inclusion of the TR profession in the healthcare world.

EBP increases communication between professionals within TR as well as with other disciplines.
How Do I Utilize Evidence-Based Practice as a Professional?
Steps to Evidence-Based Practice
1) Formulate a clear clinical question
For Example: Will a 10 year-old child abuse survivor gain greater stress-coping skills through yoga or painting?
2) Search databases for relevant research that can provide evidence
3) Evaluate the evidence
4) Implement and use your findings in practice
5) Evaluate the impact of the change in practice

Evidence-based practice involves four actions on the part of the CTRS:
1. Production of evidence through research and
scientific review
2. Production and promotion of evidence-based
clinical guidelines
3. Implementation of evidence-based, cost-effective
practice through education and management of change,
4. Evaluation of practice guidance and patient outcomes – this process is called clinical audit.
Source: Norma Stumbo
Using EBP in TR practice will help TR be a part of the Essential Health Benefits Package.

Working towards more EBP will increase our research base within the profession.

Other professionals will be able to see the benefits of TR because we will have the research to back it up.

EBP strengthens the profession as a valuable health and human service occupation.

The quality and quantity of available research is key to forming a profession's foundation.
TR and Future Benefits
Evidence-Based Practice and Client Outcomes
EBP is used in the intervention planning process of client treatment.

EBP will make TR services more affordable because insurance companies will cover it.

More meaningful modalities (did you notice the alliteration there?) will be available.

EBP will help professionals provide more effective treatment to clients
60% of CTRSs interviewed said that research was never or rarely conducted at their clinical site.

48% of CTRSs said that they would never or rarely have time to read about research while working

37% of CTRSs said that they never or rarely have access to research materials at their workplace

91% of CTRSs interviewed agree or somewhat agree that research helps to build a scientific basis for our TR practice

A common consensus among professionals is that it is difficult to find modalities that are EBP
There is a movement towards a Master's Degree requirement for Therapeutic Recreation students in order to gain thorough exposure, experience, and knowledge on conducting EBP research.

Norma Stumbo black ops intel suggests that the new ATRA Strategic Plan for 2014 is including a Task Force for creating an EBP database similar to OTseeker for Occupational Therapy specific to the TR profession. This will make EBP research more readily available to professionals.

There is also talk among professions about increasing the presence of EBP in social media in a way to connect professionals to more research. For example using hashtags to connect people to freely available research journals.
We'll Let the Statistics Do the Talking
Future Trends in Evidence-Based Practice
Other Ways to Incorporate Evidence-Based Practice into your TR Practice
Seek out literature that supports the modalities you are using.

Read Therapeutic Recreation Journals to keep up to date on new best practices.
Examples: Therapeutic Recreation Journal (TRJ), ATRA Annual, Schole, and Journal of Leisure Research

Search Evidence-Based Practice Databases.

Keep up to date with the latest textbooks that are being published because many are taking on EBP.
Check out Norma Stumbo's new book Facilitation of Therapeutic Recreation Services: An Evidence-Based and Best Practice Approach to Techniques and Processes

References
Facilitation of Therapeutic Recreation Services: An Evidence-Based Practice Approach to Techniques and Processes by Norma Stumbo and Brad Wardlaw

Norma Stumbo's Evidence-Based Practice Powerpoint from her Presentation at the TRAO conference

The Prevalence of Evidence-Based Practice by the Certified Therapeutic Recreation Specialist in the Intervention Planning Process for Client Treatment by Michelle D. Gerken, PhD, CTRS, CPRP, CDSS, Patti Costello, PhD, Linda Mrkic, MS
Research Activity
Children with Autism in a Community Setting

Adults with Spinal Cord Injury in a Hospital Setting
Any Questions?
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